Braverman, Alan
Braverman, Alan is an individual health care provider with primary practice located at 11 Grove St Booth House, New Milford CT 06776-3626. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Braverman, Alan can be contacted via phone (860) 354-5511.Contact Information
Primary practice address
11 Grove St Booth House
New Milford CT 06776-3626
Phone: (860) 354-5511
Fax: (860) 210-2641
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 021985 | Connecticut |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 021985 | Connecticut |
Profile Details
| NPI number | 1093766321 |
|---|---|
| LBN Legal business name | Braverman, Alan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 12th, 2006 |
| Last updated | Feb 17th, 2009 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093766321 | NPPES |
| Connecticut | Other | 100004800 | RAILROAD MEDICARE |
| Connecticut | MEDICAID | 1219856 | RAILROAD MEDICARE |
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